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犬乳腺良性和恶性肿瘤的B超和多普勒超声检查结果与组织学特征的比较。

Comparison of B-mode and Doppler ultrasonographic findings with histologic features of benign and malignant mammary tumors in dogs.

作者信息

Nyman Helena T, Nielsen Ole L, McEvoy Fintan J, Lee Marcel H, Martinussen Torben, Hellmén Eva, Kristensen Annemarie T

机构信息

Department of Small Animal Clinical Sciences, The Royal Veterinary and Agricultural University, 1870 Frederiksberg, Denmark.

出版信息

Am J Vet Res. 2006 Jun;67(6):985-91. doi: 10.2460/ajvr.67.6.985.

DOI:10.2460/ajvr.67.6.985
PMID:16740091
Abstract

OBJECTIVE

To compare and correlate B-mode and color Doppler ultrasonographic characteristics with the histologic findings of benign and malignant mammary tumors in dogs.

STUDY POPULATION

49 mammary tumors in 26 dogs.

PROCEDURES

Before excision, tumors were evaluated via B-mode and color Doppler ultrasonography to assess size, echogenicity, echopattern, acoustic transmission, invasiveness, and vascularity. Paraffin-embedded microsections of the tumors were stained with H&E and examined for presence of necrosis, cysts, cartilage, bone, mineralization, invasion of surrounding tissue, and tissue heterogeneity. To assess vascularity, the number and distribution of vessels that were stained by the Verhoeff van Gieson technique were recorded.

RESULTS

Tumor echogenicity and echopattern on ultrasonographic images correlated with tissue heterogeneity detected histologically. Acoustic enhancement was correlated with the presence of necrotic or cystic areas. Tumor invasion into surrounding tissues as determined ultrasonographically did not correlate with the histologic findings. There was a significant correlation between the number of detected vessels and distribution of flow within the tumors determined via ultrasonographic and histologic examinations.

CONCLUSIONS AND CLINICAL RELEVANCE

In canine mammary tumors, ultrasonographic characteristics appear to be correlated with histopathologic changes. Data suggest that ultrasonography may have an important role in the evaluation of mammary tumors in dogs, particularly in the evaluation of tissue composition and tumor vascularity.

摘要

目的

比较犬乳腺良恶性肿瘤的B超和彩色多普勒超声特征,并将其与组织学结果相关联。

研究对象

26只犬的49个乳腺肿瘤。

方法

在切除肿瘤前,通过B超和彩色多普勒超声评估肿瘤大小、回声性、回声模式、声传导、侵袭性和血管分布。肿瘤石蜡包埋切片用苏木精-伊红染色,检查是否存在坏死、囊肿、软骨、骨、矿化、周围组织侵袭及组织异质性。为评估血管分布,记录经Verhoeff van Gieson技术染色的血管数量和分布。

结果

超声图像上的肿瘤回声性和回声模式与组织学检测到的组织异质性相关。声增强与坏死或囊性区域的存在相关。超声确定的肿瘤对周围组织的侵袭与组织学结果不相关。超声检查和组织学检查确定的肿瘤内检测到的血管数量与血流分布之间存在显著相关性。

结论及临床意义

在犬乳腺肿瘤中,超声特征似乎与组织病理学变化相关。数据表明,超声检查在犬乳腺肿瘤评估中可能具有重要作用,特别是在评估组织成分和肿瘤血管方面。

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